Knowledge and Attitudes about HIV vaccine research among Health Care Providers HCP in two provinces

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Knowledge and Attitudes about HIV vaccine
research among Health Care Providers (HCP) in two
provinces in Kenya a baseline survey conducted
Feb-April 2005

• Presented at the AIDS 2006 conference
• Toronto, August 2006
• by
• Florence Manguyu
• IAVI, East Africa Region

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Authors

• Samuel Kalibala¹ Florence Manguyu¹J
  Ndinya-Achola² Sabina Wakasiaka² Job Bwayo²
  Walter Jaoko² Omu Anzala²
• ¹International AIDS Vaccine Initiative (IAVI)
• ²Kenya AIDS Vaccine Initiative (KAVI)

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Acknowledgements

• Offices of Provincial Medical Officers (PMO)
• Heads of Health Institutions
• Offices of the District Medical Officers (MOH)
• Provincial AIDS and STD Control Officers (PASCOs)
• District AIDS and STD Control Officers (DASCOs)
• EU for funding

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Role of Health Care Providers in HIV vaccine
Trials

• Health care providers are very influential on
  health related matters and are likely to be
  approached by current and potential trial
  volunteers for advice and support.
• They will be invaluable when it is time to
  deliver an HIV vaccine in the future by
  ensuring access and use.

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Objective of Baseline Evaluation

• To examine Knowledge and Attitudes of Health Care
  Providers in relation to HIV/AIDS vaccine
  research development.
• To plan training and activities for HCP based on
  findings

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Methodology

• Program covered Nairobi, Rift Valley, Nyanza,
  Western Coast where vaccine trials are taking
  place or planned.
• Inventory of HCPs in Government and missionary
  health facilities.
• Baseline Survey conducted in 2 provinces - Rift
  Valley and Nairobi.
• Simple random sampling used to select 10 of
  enumerated population.
• Semi-structured questionnaire to key informants
  and FGDs were used.

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Profession and location of respondents based on
inventory
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Percentage of HCPs interviewed N 774
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Percentages by Level of education N774
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Ever attended a training or workshop on HIV/AIDS
vaccines
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Examples of where majority gave correct answers
with scores /gt 50 (n774)
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Questions where majority gave incorrect answers
with more than 50 of score N774
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Example of knowledge variation by level of
education of respondent
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What are AIDS vaccines made of?
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Reasons given by respondents why volunteers
cannot get infected while in trial.
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Reasons given by respondents why volunteers can
get infected while in trial.
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Purpose of phase I,II,III
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(1)Attitudes
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(2)Attitudes
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Follow-up steps

• Developed Vaccine Literacy material for HCPs
• Conducted Training of Trainers workshop
• Training Workshops conducted - by May 2006- (7
  Western, 5 Coast, 5Nyanza, 6Rift Valley, 2planned
  for Nairobi
• Total No. of HCP trained 531
• More regional workshops planned
• Midline evaluation expected end 06

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Conclusion

• AIDS Vaccine research is a new field for many
  health care providers in Kenya.
• Knowledge gap.
• Support for R D.